Repair of defects in dorsal of wrist and hand with posterior interosseous artery propeller flap: a report of 9 cases
10.3760/cma.j.cn441206-20210617-00157
- VernacularTitle:骨间后动脉螺旋桨皮瓣修复腕背和手背部创面九例
- Author:
Xiaoqing HE
1
;
Yan SHI
;
Xi YANG
;
Yi CUI
;
Yuexian XU
;
Xinyu FAN
;
Teng WANG
;
Yongqing XU
Author Information
1. 解放军联勤保障部队第九二〇医院骨科，昆明 650032
- Keywords:
Posterior interosseous artery;
Propeller flap;
Wrist;
Hand;
Soft tissue defect;
Repair
- From:
Chinese Journal of Microsurgery
2021;44(5):500-502
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the preliminary clinical effect of posterior interosseous artery propeller flap in the repair of dorsal of wrist and hand wounds.Methods:From March, 2015 to December, 2019, 9 cases of dorsal of wrist and hand wounds were repaired with posterior interosseous artery propeller flap, including 6 cases of dorsal hand defect and 3 cases of dorsal wrist defect. Defect area: 6 cm × 4 cm-3 cm × 3 cm; There were 3 cases of metacarpal fracture, 1 case of phalangeal fracture and 1 case of tendon rupture. According to the size and shape of the wound, the posterior interosseous artery propeller flap was designed to transfer and repair the soft tissue defect wound. The size of the flap: 20 cm × 5 cm-12 cm × 3 cm, the size of posterior interosseous artery propeller flap was recorded and the surgical characteristics were summarized; The survival of the flap, donor and recipient complications were observed and followed-up.Results:All flaps were cut smoothly and the donor areas were sutured directly. The flap survived completely in 8 cases and partial necrosis in 1 case; One case complicated with wound infection. The follow-up ranged from 6 to 31 months, with an average of 14 months. The texture and shape of the flap were good; The last DASH score was 3-18, with an average of 9.3; There were 2 cases of mild scar hyperplasia in the donor area and 1 case of mild scar hyperplasia at the edge of the flap.Conclusion:Posterior interosseous artery propeller flap may be an effective method to repair small and medium-sized wounds of dorsal of wrist and hand.
